Individual
KENNETH MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1401 S BERETANIA ST STE 750, HONOLULU, HI 96814-1881
(808) 686-4010
Mailing address
1401 S BERETANIA ST STE 750, HONOLULU, HI 96814-1881
(808) 686-4010
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AMD-508
HI
Other
Enumeration date
03/15/2011
Last updated
11/03/2023
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